Literature DB >> 32546650

Implementing standardized provider documentation in a tertiary epilepsy clinic.

Felipe J S Jones1, Jason R Smith2, Neishay Ayub2, Susan T Herman2, Jeffrey R Buchhalter2, Brandy E Fureman2, Sydney S Cash2, Daniel B Hoch2, Lidia M V R Moura2.   

Abstract

OBJECTIVE: To incorporate standardized documentation into an epilepsy clinic and to use these standardized data to compare patients' perception of epilepsy diagnosis to provider documentation.
METHODS: Using quality improvement methodology, we implemented interventions to increase documentation of epilepsy diagnosis, seizure frequency, and type from 49.8% to 70% of adult nonemployee patients seen by 6 providers over 5 months of routine clinical care. The main intervention consisted of an interactive SmartPhrase that mirrored a documentation template developed by the Epilepsy Learning Healthcare System. We assessed the weekly proportion of complete SmartPhrases among eligible patient encounters with a statistical process control chart. We used a subset of patients with established epilepsy care linked to existing patient-reported survey data to examine the proportion of patient-to-provider agreement on epilepsy diagnosis (yes vs no/unsure). We also examined sociodemographic and clinical characteristics of patients who disagreed vs agreed with provider's documentation of epilepsy diagnosis.
RESULTS: The median SmartPhrase weekly completion rate was 78%. Established patients disagreed with providers with respect to epilepsy diagnosis in 18.5% of encounters (κ = 0.13), indicating that they did not have or were unsure if they had epilepsy despite having a provider-documented epilepsy diagnosis. Patients who disagreed with providers were similar to those who agreed with respect to age, sex, ethnicity, marital status, seizure frequency, type, and other quality-of-life measures.
CONCLUSION: This project supports the feasibility of implementing standardized documentation of data relevant to epilepsy care in a tertiary epilepsy clinic and highlights an opportunity for improvement in patient-provider communication.
© 2020 American Academy of Neurology.

Entities:  

Mesh:

Year:  2020        PMID: 32546650      PMCID: PMC7455323          DOI: 10.1212/WNL.0000000000009778

Source DB:  PubMed          Journal:  Neurology        ISSN: 0028-3878            Impact factor:   9.910


  36 in total

1.  Physicians' use of electronic medical records: barriers and solutions.

Authors:  Robert H Miller; Ida Sim
Journal:  Health Aff (Millwood)       Date:  2004 Mar-Apr       Impact factor: 6.301

2.  Launching HITECH.

Authors:  David Blumenthal
Journal:  N Engl J Med       Date:  2009-12-30       Impact factor: 91.245

3.  Promoting clinical involvement in hospital quality improvement efforts: the effects of top management, board, and physician leadership.

Authors:  B J Weiner; S M Shortell; J Alexander
Journal:  Health Serv Res       Date:  1997-10       Impact factor: 3.402

Review 4.  Physician Burnout and Well-Being: A Systematic Review and Framework for Action.

Authors:  David A Rothenberger
Journal:  Dis Colon Rectum       Date:  2017-06       Impact factor: 4.585

5.  Assessing Emotional Suffering in Palliative Care: Use of a Structured Note Template to Improve Documentation.

Authors:  Sangeeta Lamba; Ana Berlin; Rebecca Goett; Christopher B Ponce; Bart Holland; Susanne Walther
Journal:  J Pain Symptom Manage       Date:  2016-05-27       Impact factor: 3.612

6.  Neurology steering board effects change for a major electronic health record vendor.

Authors:  Allison L Weathers; Ihtsham U Haq; David M Ficker; John P Ney; Steven L Meyers
Journal:  Neurol Clin Pract       Date:  2019-08

7.  Quality and correlates of medical record documentation in the ambulatory care setting.

Authors:  Carlos M Soto; Kenneth P Kleinman; Steven R Simon
Journal:  BMC Health Serv Res       Date:  2002-12-10       Impact factor: 2.655

8.  Analysis of free text in electronic health records for identification of cancer patient trajectories.

Authors:  Kasper Jensen; Cristina Soguero-Ruiz; Karl Oyvind Mikalsen; Rolv-Ole Lindsetmo; Irene Kouskoumvekaki; Mark Girolami; Stein Olav Skrovseth; Knut Magne Augestad
Journal:  Sci Rep       Date:  2017-04-07       Impact factor: 4.379

9.  Association between addressing antiseizure drug side effects and patient-reported medication adherence in epilepsy.

Authors:  Lidia M V R Moura; Thiago S Carneiro; Andrew J Cole; John Hsu; Barbara G Vickrey; Daniel B Hoch
Journal:  Patient Prefer Adherence       Date:  2016-10-31       Impact factor: 2.711

10.  Quality improvement in neurology: Epilepsy Quality Measurement Set 2017 update.

Authors:  Anup D Patel; Christine Baca; Gary Franklin; Susan T Herman; Inna Hughes; Lisa Meunier; Lidia M V R Moura; Heidi Munger Clary; Brandy Parker-McFadden; Mary Jo Pugh; Rebecca J Schultz; Marianna V Spanaki; Amy Bennett; S Andrew Josephson
Journal:  Neurology       Date:  2018-10-03       Impact factor: 9.910

View more
  2 in total

1.  Patient feedback and evaluation measures of a physical activity initiative: Exercise is Medicine program.

Authors:  Kimberly R De Guzman; Michael Pratt; Andrea Hwang; Sarah E Linke
Journal:  Fam Pract       Date:  2022-09-24       Impact factor: 2.290

2.  Ambulatory care for epilepsy via telemedicine during the COVID-19 pandemic.

Authors:  Proleta Datta; Wattana Barrett; Monica Bentzinger; Tracy Jasinski; Lakshman Arcot Jayagopal; Alexa Mahoney; Crystal Pearon; Arun Swaminathan; Aditya Vuppala; Kaeli K Samson; Hongmei Wang; Olga Taraschenko
Journal:  Epilepsy Behav       Date:  2021-02-02       Impact factor: 2.937

  2 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.